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The value of bacterial culture during clean orthopedic surgery: a prospective study of 1,036 patients.
Authors:Louis Bernard  Christophe Sadowski  Daniel Monin  Richard Stern  Blaise Wyssa  Peter Rohner  Daniel Lew  Pierre Hoffmeyer
Affiliation:Orthopaedic Clinic, Division of Infectious Diseases, Geneva University Hospital, 24 rue Micheli-du-Crest, 1211 Geneva 14, Switzerland.
Abstract:
OBJECTIVE: To determine whether bacterial cultures of the wounds of patients undergoing clean orthopedic surgery would help predict infection. METHODS: During 1 year, 1,256 cultures were performed for 1,102 patients who underwent clean orthopedic surgery. Results were analyzed to evaluate their ability to predict postoperative infection. RESULTS: The sensitivity, specificity, positive predictive value, and negative predictive value of the cultures were 38%, 92%, 7%, and 99%, respectively. CONCLUSIONS: Cultures performed during clean orthopedic surgery were not useful for predicting postoperative infection.
Keywords:
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